Evidence map›Paper›PMID 35449390›Full record

ArticleIrish journal of medical science2023

Cost and public reimbursement of cancer medicines in the UK and the Republic of Ireland.

David O'Reilly, Ronan McLaughlin, Cian Ronayne, Anne Marie De Frein, Bojan Macanovic, Ryan W Chu, Sinead A Noonan, Roisin M Connolly, Derek G Power, Richard M Bambury and 2 more

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In one paragraph

Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

David O'ReillyDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland. oreilld8@tcd.ie.ORCID http://orcid.org/0000-0001-8491-8916
Ronan McLaughlinDepartment of Medical Oncology, University Hospital Limerick, Dooradoyle, Co. Limerick, Republic of Ireland.
Cian RonayneDepartment of Pharmacy, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Anne Marie De FreinNational Cancer Control Programme, King's Inn House, Dublin 1, Republic of Ireland.
Bojan MacanovicDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Ryan W ChuSchool of Medicine, University College Cork, Co. Cork, Republic of Ireland.
Sinead A NoonanDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Roisin M ConnollyDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Derek G PowerDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Richard M BamburyDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Seamus O'ReillyDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Dearbhaile Catherine CollinsDepartment of Medical Oncology, Cork University Hospital, Wilton, Co. Cork, Republic of Ireland.
Cork University Hospital · IEUniversity College Cork · IEUniversity Hospital Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

aimsThere are disparities in the availability of systemic anticancer therapies (SACTs) globally. We set out to investigate the cost and reimbursement of SACTs in the United Kingdom (UK) and the Republic of Ireland (ROI) in conjunction with efficacy and licensing authority decisions in the United States (US) and the European Union (EU).

methodsWe sought data pertaining to licensing in the EU, reimbursement in ROI/UK and cost/efficacy of SACTs licensed by the Food and Drug Administration (FDA) between January 2015 and May 2021. Independent samples t tests, chi-square test and Pearson's correlation were used for statistical analysis.

resultsWe identified that the majority of FDA-approved regimens are licensed by the European Medicines Agency (EMA) (n = 91, 67.9%). However, only a minority of these are currently reimbursed in the UK (n = 60, 45%) or the ROI (n = 28, 21%) as of the 1

conclusionsOur study highlights that many licensed systemic anticancer treatments are not currently reimbursed in ROI/UK. The high cost of these medicines is independent of the presence of an OS benefit. Collaboration between regulatory agencies, governments and industry partners is needed to ensure health expenditure is directed towards the most effective treatments.

Indexed as

NeoplasmsHumansIrelandTreatment OutcomeUnited KingdomUnited StatesUnited States Food and Drug AdministrationCancer drugsOncologyPharmacoeconomics

Identifiers

PMID35449390
OpenAlexW4224210152

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.